Active NPI 1891860599 Individual Practitioner Female Practitioner

Jodi A Conley , PA

Physician Assistant • Grayson, KY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jodi Conley, PA is a certified Physician Assistant practicing in Grayson, KY. With approximately 30 years of clinical experience since graduating from University Of Kentucky College Of Medicine in 1996, Jodi Conley delivers high-quality medical care to the local community at 100 BELLEFONTE DR.

Jodi Conley maintains professional affiliations with Premier Therapy And Health Centers Inc, Ashland Hospital Corporation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Bellefonte Dr

Grayson, KY 411431820

Telephone 6064740669

Fax 6064740376

Associated Practice Facility / Clinic

🏢 Bellefonte Physician Services, Inc. Facility NPI 1710123328

Medicare Profile & Education

Medical School

University Of Kentucky College Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Grayson, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +11.7 yrs vs City Avg

City Avg: 18.3 Yrs

State Avg: 12.7 Yrs

Regional Practice Density

4 Specialists

Practicing in Grayson, KY (1973 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

52.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Conley (30 Years) 30 Yrs

Grayson Specialty Average (18.3 Years) 18.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	785	208	$143.36	$76.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	118	118	$366.00	$101.55
36415 Insertion of needle into vein for collection of blood sample	110	84	$10.00	$8.65
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	73	66	$38.00	$13.12
81003 Automated urinalysis test	68	48	$7.00	$2.20
99213 Established patient office or other outpatient visit, typically 15 minutes	60	48	$86.00	$52.61
G0008 Administration of influenza virus vaccine	56	55	$29.00	$28.42
99495 Transitional care management services for problem of at least moderate complexity	26	21	$335.00	$111.03
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	22	22	$291.00	$284.76
90480 Admn sarscov2 vacc 1 dose	22	21	$50.00	$39.42
G0009 Administration of pneumococcal vaccine	19	19	$37.00	$29.46
91322 Sarscov2 vac 50 mcg/0.5ml im	16	16	$317.00	$158.42
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$378.00	$103.88
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	13	$146.00	$41.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	798	206	$144.58	$78.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	140	140	$341.70	$102.52
36415 Insertion of needle into vein for collection of blood sample	140	114	$10.00	$8.29
99213 Established patient office or other outpatient visit, typically 15 minutes	86	62	$91.49	$53.61
81003 Automated urinalysis test	65	38	$8.08	$2.17
G0008 Administration of influenza virus vaccine	58	58	$29.00	$28.42
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	39	38	$291.00	$282.39
G0009 Administration of pneumococcal vaccine	36	35	$37.00	$28.60
99495 Transitional care management services for problem of at least moderate complexity	28	22	$351.89	$113.08
90480 Admn sarscov2 vacc 1 dose	21	21	$50.00	$38.12
20610 Aspiration and/or injection of fluid from large joint	16	13	$177.38	$43.12
91322 Sarscov2 vac 50 mcg/0.5ml im	15	15	$317.00	$143.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	871	231	$147.70	$79.49
36415 Insertion of needle into vein for collection of blood sample	141	105	$10.00	$2.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	140	140	$312.00	$104.60
81003 Automated urinalysis test	98	64	$9.00	$2.22
99213 Established patient office or other outpatient visit, typically 15 minutes	85	66	$96.45	$54.16
99442 Telephone medical discussion with physician, 11-20 minutes	64	50	$96.91	$54.48
G0008 Administration of influenza virus vaccine	58	58	$28.83	$26.80
99495 Transitional care management services for problem of at least moderate complexity	31	22	$378.00	$116.82
20610 Aspiration and/or injection of fluid from large joint	20	13	$135.45	$36.76
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$51.00	$21.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	597	229	$147.34	$82.10
99213 Established patient office or other outpatient visit, typically 15 minutes	238	142	$96.18	$55.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	176	176	$312.00	$107.49
99442 Telephone medical discussion with physician, 11-20 minutes	130	93	$78.00	$56.20
36415 Insertion of needle into vein for collection of blood sample	117	96	$10.00	$2.96
81003 Automated urinalysis test	86	60	$9.00	$2.25
G0008 Administration of influenza virus vaccine	64	64	$19.00	$15.62
99441 Telephone medical discussion with physician, 5-10 minutes	35	32	$38.00	$29.76
99495 Transitional care management services for problem of at least moderate complexity	15	14	$378.00	$119.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$47.00	$29.77
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$351.00	$111.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	965	279	$163.61	$72.76
J1100 Injection, dexamethasone sodium phosphate, 1 mg	716	68	$15.67	$0.12
J0696 Injection, ceftriaxone sodium, per 250 mg	255	52	$21.09	$0.58
36415 Insertion of needle into vein for collection of blood sample	251	174	$14.12	$2.96
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	233	85	$46.00	$10.88
81003 Automated urinalysis test	99	53	$14.81	$2.24
J1885 Injection, ketorolac tromethamine, per 15 mg	82	31	$16.00	$0.47
85610 Blood test, clotting time	80	14	$12.40	$4.28
99441 Telephone medical discussion with physician, 5-10 minutes	78	68	$34.31	$22.94
99213 Established patient office or other outpatient visit, typically 15 minutes	71	60	$106.75	$44.52
G0008 Administration of influenza virus vaccine	66	66	$19.61	$15.61
71046 X-ray of chest, 2 views	56	42	$35.00	$18.90
99442 Telephone medical discussion with physician, 11-20 minutes	46	38	$71.22	$45.47
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	41	41	$21.20	$19.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$235.47	$90.26
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	31	31	$26.00	$11.92
93000 Routine ekg using at least 12 leads including interpretation and report	31	30	$70.00	$13.49
87804 Detection test by immunoassay with direct visual observation for influenza virus	30	17	$32.00	$13.94
20610 Aspiration and/or injection of fluid from large joint	28	20	$152.68	$49.20
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	27	18	$21.00	$2.19
G0444 Annual depression screening, 5 to 15 minutes	20	20	$70.00	$14.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$240.32	$107.78
G0442 Annual alcohol misuse screening, 5 to 15 minutes	19	19	$65.00	$13.56
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	19	19	$23.00	$19.58
J2800 Injection, methocarbamol, up to 10 ml	18	15	$42.00	$7.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$76.12	$24.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	2,623	171	$16.00	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,336	319	$198.00	$85.07
J0696 Injection, ceftriaxone sodium, per 250 mg	864	127	$21.00	$0.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	806	196	$46.00	$12.81
36415 Insertion of needle into vein for collection of blood sample	527	244	$19.00	$2.92
J1885 Injection, ketorolac tromethamine, per 15 mg	325	81	$16.00	$0.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	203	203	$217.00	$92.04
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	192	24	$35.00	$1.58
71046 X-ray of chest, 2 views	163	108	$35.00	$17.47
93000 Routine ekg using at least 12 leads including interpretation and report	111	97	$70.00	$12.92
87804 Detection test by immunoassay with direct visual observation for influenza virus	107	48	$29.91	$16.03
G0442 Annual alcohol misuse screening, 5 to 15 minutes	107	107	$65.00	$14.07
J2405 Injection, ondansetron hydrochloride, per 1 mg	94	18	$16.00	$0.13
81003 Automated urinalysis test	86	56	$32.00	$2.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	84	58	$266.00	$112.32
G0444 Annual depression screening, 5 to 15 minutes	83	83	$70.00	$13.99
G0008 Administration of influenza virus vaccine	77	76	$39.00	$15.31
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	76	34	$21.00	$1.81
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	65	65	$25.00	$17.48
85610 Blood test, clotting time	59	19	$16.00	$4.28
J2800 Injection, methocarbamol, up to 10 ml	56	38	$42.00	$12.50
81002 Urinalysis, manual test	40	30	$11.00	$3.41
20610 Aspiration and/or injection of fluid from large joint	34	22	$159.53	$58.66
74019 X-ray of abdomen, 2 views	32	24	$39.00	$18.61
85018 Blood count, hemoglobin	30	18	$6.00	$2.25
94640 Inhalation treatment for airway obstruction or sputum production	28	24	$24.00	$13.70
82962 Blood glucose (sugar) test performed by hand-held instrument	25	20	$16.00	$2.86
J3490 Unclassified drugs	24	16	$28.88	$0.94
72100 X-ray of lower and sacral spine, 2-3 views	24	24	$42.00	$22.45
99213 Established patient office or other outpatient visit, typically 15 minutes	22	18	$135.00	$56.91
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	22	20	$37.00	$15.46
G0009 Administration of pneumococcal vaccine	20	20	$39.00	$15.31
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	20	18	$125.00	$48.31
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$203.00	$134.61
71045 X-ray of chest, 1 view	18	16	$19.00	$12.35
72050 X-ray of upper spine, 4 or 5 views	17	15	$52.00	$30.67
73560 X-ray of knee, 1-2 views	16	11	$40.00	$21.18
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	16	14	$99.00	$27.77
73130 X-ray of hand, minimum of 3 views	15	11	$39.00	$21.82
73630 X-ray of foot, minimum of 3 views	15	14	$36.00	$19.13
73502 X-ray of hip, 2-3 views	14	12	$53.00	$26.13
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	12	$25.00	$18.65
73030 X-ray of shoulder, minimum of 2 views	13	12	$35.00	$18.32
70220 X-ray of paranasal sinus, minimum of 3 views	13	11	$44.00	$21.98
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$58.00	$56.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	2,866	168	$16.00	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,390	341	$198.00	$83.55
J0696 Injection, ceftriaxone sodium, per 250 mg	1,059	148	$21.00	$0.59
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	790	202	$46.00	$15.41
36415 Insertion of needle into vein for collection of blood sample	506	249	$19.00	$2.93
J1885 Injection, ketorolac tromethamine, per 15 mg	379	77	$16.00	$0.54
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	190	32	$35.00	$1.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	187	187	$217.00	$92.54
71046 X-ray of chest, 2 views	177	116	$35.00	$16.76
93000 Routine ekg using at least 12 leads including interpretation and report	104	91	$70.00	$12.80
87804 Detection test by immunoassay with direct visual observation for influenza virus	97	45	$32.00	$15.38
G0008 Administration of influenza virus vaccine	81	81	$39.00	$18.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	80	59	$266.00	$116.01
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	77	77	$25.00	$16.57
81002 Urinalysis, manual test	74	51	$11.00	$3.18
85610 Blood test, clotting time	70	14	$16.00	$4.75
J2405 Injection, ondansetron hydrochloride, per 1 mg	68	17	$16.00	$0.09
81003 Automated urinalysis test	56	42	$32.00	$2.62
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	47	25	$21.00	$1.96
94640 Inhalation treatment for airway obstruction or sputum production	43	41	$24.00	$13.21
20610 Aspiration and/or injection of fluid from large joint	39	28	$139.08	$51.67
J3490 Unclassified drugs	39	27	$26.92	$1.04
G0009 Administration of pneumococcal vaccine	31	31	$39.00	$18.71
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	30	24	$37.00	$13.65
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	27	23	$125.00	$53.74
72100 X-ray of lower and sacral spine, 2-3 views	26	25	$42.00	$20.27
90670 Pneumococcal vaccine for injection into muscle	25	25	$196.00	$183.74
82962 Blood glucose (sugar) test performed by hand-held instrument	24	18	$16.00	$3.00
74019 X-ray of abdomen, 2 views	22	18	$39.00	$17.28
85018 Blood count, hemoglobin	19	13	$6.00	$2.87
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	18	17	$99.00	$33.98
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$203.00	$133.03
90471 Administration of 1 vaccine	17	16	$46.00	$11.81
73030 X-ray of shoulder, minimum of 2 views	17	16	$35.00	$17.51
73502 X-ray of hip, 2-3 views	14	13	$53.00	$26.48
96375 Injection of additional new drug or substance into vein	14	11	$43.00	$13.19
73630 X-ray of foot, minimum of 3 views	13	11	$36.00	$18.46
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$135.00	$53.22
73564 X-ray of knee, 4 or more views	12	11	$50.00	$24.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	2,674	176	$16.00	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,277	329	$198.00	$84.38
J0696 Injection, ceftriaxone sodium, per 250 mg	891	139	$21.00	$0.64
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	772	208	$46.00	$19.27
J1885 Injection, ketorolac tromethamine, per 15 mg	410	80	$16.00	$0.63
36415 Insertion of needle into vein for collection of blood sample	391	212	$19.00	$2.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	206	206	$217.00	$90.37
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	189	32	$35.00	$1.81
71020 X-ray of chest, 2 views, front and side	154	101	$48.64	$14.67
J2405 Injection, ondansetron hydrochloride, per 1 mg	100	24	$16.00	$0.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	98	67	$266.00	$112.66
G0008 Administration of influenza virus vaccine	81	79	$39.00	$22.90
99213 Established patient office or other outpatient visit, typically 15 minutes	72	58	$135.00	$56.48
93000 Routine ekg using at least 12 leads including interpretation and report	71	63	$70.00	$13.06
81003 Automated urinalysis test	71	54	$32.00	$3.02
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	66	66	$25.00	$17.22
85610 Blood test, clotting time	62	17	$16.00	$5.28
94640 Inhalation treatment for airway obstruction or sputum production	52	51	$24.00	$13.42
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	42	24	$21.00	$2.80
20610 Aspiration and/or injection of fluid from large joint	42	32	$131.83	$51.06
87804 Detection test by immunoassay with direct visual observation for influenza virus	40	37	$32.00	$15.09
92250 Photography of the retina	38	19	$74.37	$28.05
G0009 Administration of pneumococcal vaccine	36	36	$39.00	$22.90
J3490 Unclassified drugs	30	17	$25.20	$1.02
74020 Imaging of abdomen	28	23	$63.04	$20.71
82962 Blood glucose (sugar) test performed by hand-held instrument	28	23	$16.00	$3.15
90670 Pneumococcal vaccine for injection into muscle	26	26	$196.00	$179.78
85018 Blood count, hemoglobin	26	13	$6.00	$2.86
72100 X-ray of lower and sacral spine, 2-3 views	24	23	$60.67	$20.73
81002 Urinalysis, manual test	22	21	$11.00	$3.23
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	21	18	$37.00	$14.03
80305 Testing for presence of drug, read by direct observation	18	18	$30.00	$14.66
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	17	17	$125.00	$52.01
90471 Administration of 1 vaccine	17	17	$46.00	$17.35
99496 Transitional care management services for problem of high complexity	17	12	$462.00	$182.40
73030 X-ray of shoulder, minimum of 2 views	16	15	$46.25	$16.56
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$25.00	$18.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$306.00	$130.70
73502 X-ray of hip, 2-3 views	14	14	$66.50	$26.30
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	14	14	$99.00	$43.19
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$58.00	$56.84
72050 X-ray of upper spine, 4 or 5 views	11	11	$87.18	$25.69

Medical Specialties & State Licenses

CMS Verified: 2020-05-19

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License KY PA355

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7100055310 (KY)

Commercial Insurance / Payer ID Brickstreet/wv Comp

1071595 (WV)

Hospital & Practice Group Affiliations

Ashland Hospital Corporation

2201 Lexington Ave, Ashland, KY 411012843

Phone: 6064084000

Ashland Hospital Corporation

391 W Tom T Hall Blvd, Olive Hill, KY 411647688

Phone: 6062868039

Premier Therapy And Health Centers Inc

710 N Carol Malone Boulevard, Grayson, KY 411431126

Phone: 6064740157

Premier Therapy And Health Centers Inc

710 N Carol Malone Boulevard, Grayson, KY 411431126

Phone: 6064740157

Ashland Hospital Corporation

12100 Princeland Dr, Ashland, KY 411027885

Phone: 6069282963

Ashland Hospital Corporation

100 Bellefonte Dr, Grayson, KY 411431820

Phone: 6064740669

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners

Maria Sargent , ARNP

Nurse Practitioner - Family

NPI 1023191392

Advanced Registered Nurse Practitioner

Shelby Hill , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1053970574

Advanced Practice Registered Nurse

Savannah Oliver , APRN

Nurse Practitioner - Family

NPI 1063202166

Advanced Practice Registered Nurse

Kellie Sparks , APRN

Nurse Practitioner - Family

NPI 1083062988

Advanced Practice Registered Nurse

Dr. Miranda Binion , MD

Internal Medicine

NPI 1093041139

Doctor of Medicine (M.D.)

Dr. Tyler Elam , DO

Family Medicine

NPI 1144646209

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location May 19, 2020

Registered at 100 BELLEFONTE DR, GRAYSON, KY 411431820 (Tel: 6064740669)

📍

Updated Business Mailing Address May 19, 2020

Registered at PO BOX 2379, ASHLAND, KY 411052379 (Tel: 6064086200)

✅

NPI Profile Active March 07, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 07, 2011

Registered at 300 STATE HIGHWAY 1947, GRAYSON, KY 411439325 (Tel: 6064742200)

📍

Updated Business Mailing Address March 07, 2011

Registered at 300 STATE HIGHWAY 1947, GRAYSON, KY 411439325 (Tel: 6064742200)

👤

Provider Name / Credentials Updated March 07, 2011

Recorded as JODI CONLEY, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2011

Physician Assistant (License #PA355 in KY)

🟢

Initial NPI Registration & Enumeration November 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891860599

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 21, 2006

Last Update: May 19, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2379

Ashland, KY 411052379

Phone: 6064086200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.